Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.40 / $196.80 / $280.80	Facility		$98.40	$196.80	$280.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.60 / $102.00 / $152.52	Professional		$93.60	$102.00	$152.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $518.70 / $1,587.43	Facility		$162.00	$518.70	$1,587.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $92.40 / $182.40	Professional		$4.50	$92.40	$182.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.90 / $266.72 / $552.45	Facility		$87.90	$266.72	$552.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.38 / $146.22 / $202.56	Professional		$61.38	$146.22	$202.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $210.00 / $480.88	Professional		$132.00	$210.00	$480.88
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $156.00 / $156.00	Professional		$156.00	$156.00	$156.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $163.19 / $180.00	Professional		$22.99	$163.19	$180.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $72.00 / $120.00	Professional		$50.40	$72.00	$120.00